SAMANTHA JANE ATKIELSKI Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005038

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

JANE

Last Name

ATKIELSKI

Business Name

SAMANTHA JANE ATKIELSKI

Original Issue Date

09/27/2019

Effective Date

09/27/2019

Expiration Date

09/30/2020

City

KENOSHA

State

Zip

53144

Ever Disciplined

LastModifiedDate

01/14/2021